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Acupuncture Milestones – Medicare Beginning Coverage

January 23, 2020 by Tansy Briggs

Medicare, after a short trial period, has decided it will begin covering Acupuncture for low back pain.  This is both exciting and confusing at the same time.  In the new language:

“Only a physician as defined by Medicare in 1861(r)(1) (i.e. an MD or DO), and those with “a masters or doctoral level degree in acupuncture or Oriental Medicine from a school accredited by the Accreditation Commission on Acupuncture and Oriental Medicine (ACAOM)” may furnish acupuncture.”

This sounds great, but then:

However, it will only cover acupuncture by a licensed Acupuncturist if they are under “the appropriate level” of supervision with MD/DO providers, nurse practitioners, clinical nurse specialists, and physician assistants.  It isn’t as clear what this means or how treatment is billed and reimbursed.   Please see the below letter:

ASA-NCCAOM-letter-re-CMS-Acu-Determination-Jan-22-2020final.pdfcopy

Regardless, this is an important milestone in our profession!  We will work to figure out what this actually means in the real world of healthcare and reimbursement.  Onwards!

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The views and nutritional/herbal advice expressed by Tansy Briggs, DACM, L.OM is not intended to be a substitute for conventional medical service. Purchasing a product, program or wellness coaching does not establish a practitioner patient relationship with Tansy Briggs, DACM, L.OM.  If you have or suspect that you have a medical problem, promptly contact your health care provider. We suggest that you continue to work with qualified medical professionals as you engage in our material, products and services. No information offered here should be interpreted as a diagnosis of any disease, nor an attempt to treat or prevent or cure any disease or condition. Information and statements regarding products and/or services made available by Tansy Briggs, DACM, L.OM have not been evaluated by the Food and Drug Administration.  Tansy Briggs, DACM. L.OM or Integrative Health Link products and services are not intended to diagnose, treat, cure or prevent any disease.

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